Page 1 of 2

X Food Service Establishment
    Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
 Establishment #   AP010  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  CIRCLE K #4700178 Address  3304 WALDRON RD
Owner or Operator   MAC'S CONVENIENCE STORES City   AROMA PARK Zip Code   60910
 
ITEM
X
WT
DESCRIPTION
ITEM
X
WT
DESCRIPTION
ITEM
X
WT
DESCRIPTION
 
FOOD
18
 
1
 Pre-flushed, scraped, soaked
34
  
1
 Outside storage area, enclosures properly constructed, clean: controlled incineration
*1
  
5
 Source, Wholesome, No Spoilage
19
  
2
 Wash, rinse after: clean, proper temperature
2
  
1
 Original Container, Properly Labeled
*20
  
4
 Sanitization rinse: Clean, temperature, concentration   INSECT, RODENT ANIMAL CONTROL
 
FOOD PROTECTION
*35
  
4
 Presence of insects/rodents - outer openings protected; no birds, turtles, or other animals
*3
  
5
 Potentially hazardous food meets temperature requirements during storage, preparation, display, service and transportation
21
  
1
 Wiping cloths: clean, use restricted
22
  
2
 Food contact surfaces of equipment and utensils clean, free of abrasives and detergents  
FLOORS WALLS AND CEILINGS
36
X
1
 Floor: constructed, drained, clean, good repair, covering installation, dustless cleaning methods
*4
  
4
 Facilities to maintain product temperature
23
X
1
 Non-food contact surfaces of equipment and utensils clean
5
 
1
 Thermometers provided and conspicuous
37
X
1
 Walls, ceiling, attached equipment: constructed good repair, clean surfaces, dustless cleaning methods
6
 
2
 Potentially hazardous food properly thawed
24
  
1
 Storage, handling of clean equipment utensils
*7
  
4
 Unwrapped and potentially hazardous food not re-served, Cross Contamination
25
  
1
 Single-service articles, storage, dispensing  
LIGHTING
26
  
2
 No re-use of single-service articles
38
  
1
 Lighting provided as required - Fixtures shielded
8
X
2
 Food protection during storage, preparation, display, service and transportation  
WATER
  
VENTILATION
*27
 
5
 Water source, safe: Hot and cold under pressure
39
  
1
 Rooms and equipment - vented as required
9
  
2
 Handling of food(ice) minimized, methods  
SEWAGE
  
DRESSING ROOMS
10
  
1
 Food(ice) dispensing utensils properly stored
*28
  
4
 Sewage and waste water disposal
40
  
1
 Rooms clean, lockers provided, facilities clean
 
PERSONNEL
  
PLUMBING
  
OTHER OPERATIONS
*11
  
5
 Personnel with infections restricted
29
  
1
 Installed, maintained
*41
  
5
 Toxic items properly stored, labeled and used
*12
X
5
 Hands washed and clean, good hygienic practices
*30
 
5
 Cross-connection, back siphonage-backflow
42
X
1
 Premises: maintained, free of litter, unnecessary articles, cleaning/maintenance equipment properly stored, authorized personnel
13
  
1
Clean clothes, hair restraints
  
TOILET AND HAND-WASHING FACILITIES
 
FOOD EQUIPMENT AND UTENSILS
14
  
2
 Food (ice) contact surfaces: designed, constructed, maintained, installed, located
*31
  
4
 Number, convenient, accessible, designed, installed
43
  
1
 Complete separation from living/sleeping quarters, laundry
32
X
2
 Toilet rooms enclosed, self-closing doors, fixtures, good repair, clean: Hand cleanser, sanitary towels/hand drying devices provided. Proper waste receptacles, tissue
15
X
1
 Non-food (ice) contact surfaces: designed, constructed, maintained, installed, located.
44
  
1
 Clean, soiled linen properly stored
 
CERTIFIED PERSONNEL
16
  
2
 Dishwashing facilities: designed, constructed, maintained, installed, located, operated
*45
     Management personnel certified Yes     No     Registered for class    
 
GARBAGE AND REFUSE DIPSOSAL
17
  
1
 Accurate thermometers, chemical test kits provided, gauge cook
33
  
2
 Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
      
Sanitizer Requirement:  Chemical   QUAT 100 ppm                   Dishwasher Temperature   O.K. °F or label
Food Temperatures:   PEPPERONI PIZZA 0; MILK 40; ICE CREAM -16; CXN TORNADO 135, 0; BEEF FRANK 150; NACHO CHEESE 149; CXN SALAD 35; CREAMER 34
 
General Comments
HACCP: DISCUSSED PROPER HANDWASHING TECHNIQUES.

A FOLLOW UP WILL OCCUR IN APPRX. 15 DAYS FOR #12 & 45. 
Report and Instructions Received By   JAMIE MONAHAN /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  01/31/2014 Time In  11:00 PM Time Out  12:10 PM Sanitation Score  86 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  86  
 
Page 2 of 2

    Food Service Establishment
    Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
 Establishment #   AP010  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CIRCLE K #4700178 Address  3304 WALDRON RD
Owner or Operator   MAC'S CONVENIENCE STORES City   AROMA PARK Zip Code   60910
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*12  OBSERVED NO PAPER TOWELS IN REST ROOMS. PROVIDE PAPER TOWELS. (750.530) 15 Days
*45  Observed an insufficient number of certified food handlers to be employed at this facility. Provide for one certified food handler to be employed, full time at this establishment. 15 Days
8  OBSERVED ASSORTED BEVERAGES ON FLOOR IN BACK, BEER CAVE AND WALK IN'S. STORE 6" OFF THE FLOOR. (750.130) Next Inspection
15  OBSERVED CHIPPED WOOD ON INSIDE CABINETS UNDER CREAMERS IN STORE. REPAIR. (750.690) Next Inspection
23  Observed the following contact surfaces to be unclean: 1) INSIDE SHELVES TO 2-DOOR PEPSI COOLER BY FRONT DOORS, 2) POTATOE CHIP SHELF, 3) COOLER IN ISLAND, 4) CONDIMENT HOLDERS, 5) INSIDE POLAR POP CABINETS, 6) CAPPUCCHINO MACHINE. CLEAN. (750.800) Next Inspection
32  OBSERVED MEN'S TOILET IN NEED OF CLEANING. CLEAN. (750.1130) Next Inspection
36  OBSERVED CONCRETE FLOORING IN WALK INS AND BACK ROOM IN NEED OF RESEALING. SEAL. (750.1200) CLEAN FLOOR UNDER/AROUND 3-BAY AND HALLWAY NEAR RESTROOMS. (750.1220) Next Inspection
37  OBSERVED WALLS AND CEILINGS IN WALK IN COOLER DIRTY. CLEAN. (750.1220) OBSERVED CHIPPED PAINT ON WALLS IN RESTROOM HALLWAY. (750.1210) Next Inspection
42  OBSERVED MOP STORED IMPROPERLY BY DONUT CASE. CLEAN, SANITIZE AND HANG TO DRY AFTER EVERY USE. (750.1390) Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   JAMIE MONAHAN /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  01/31/2014 Time In  11:00 PM Time Out  12:10 PM Sanitation Score  86 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  86